Conventional transcranial electric stimulation(tES) using standard anatomical positions for the electrodes and standard stimulation currents is frequently not sufficiently selective in targeting and reaching specific brain locations, leading to suboptimal application of electric fields. Recent advancements in in vivo electric field characterization may enable clinical researchers to derive better relationships between the electric field strength and the clinical results. Subject-specific electric field simulations could lead to improved electrode placement and more efficient treatments. Through this narrative review, we present a processing workflow to personalize tES for focal epilepsy, for which there is a clear cortical target to stimulate. The workflow utilizes clinical imaging and electroencephalography data and enables us to relate the simulated fields to clinical outcomes. We review and analyze the relevant literature for the processing steps in the workflow, which are the following: tissue segmentation, source localization, and stimulation optimization. In addition, we identify shortcomings and ongoing trends with regard to, for example, segmentation quality and tissue conductivity measurements. The presented processing steps result in personalized tES based on metrics like focality and field strength, which allow for correlation with clinical outcomes.
This paper presents a parallel resonant inductive wireless power transfer system for medical implant applications. The aim of the transcutaneous charging system is to address a larger range of implant depth compared to the current state of the art technology. The impact on amplifier load impedance and with that, -design and -modeling, is shown from an analytical stand-point. The obtained model provides insight into component tolerance impact as well. An objective simulation comparison approach for rectifier topologies further ensures an efficient design. With a 0.5 W transmitter output power, a transferred current of 100 mA is measured over an implant depth of 10 to 50 mm and fitting well both a time- and frequency domain simulation model. The latter enabling complex analyses like class- $\mathrm{D}$ amplifier load pull combined with component tuning.
Electrical source imaging (ESI) estimates neural activity from scalp EEG, but its ability to reconstruct the temporal dynamics of spontaneous brain activity beyond source localization remains unclear. This is assessed using simultaneous high-density EEG and intracranial EEG (iEEG) recordings during spontaneous activity in 34 patients with drug-resistant focal epilepsy. Four ESI approaches (three distributed source models and one beamformer) are applied to estimate neural activity, which is then projected onto iEEG electrode locations to generate virtual iEEG signals for comparison with measured recordings. Reconstruction fidelity is quantified using Pearson correlations between actual and virtual iEEG signals, while spatial accuracy is assessed through peak localization error and spatial deviation derived from point-spread and cross-talk functions. Analyses are performed in broadband and delta, theta, alpha, and beta bands. Temporal reconstruction remains limited, with the highest estimated correlation reaching 0.126, localization errors of approximately 3 cm, and substantial spatial leakage. Reconstruction quality decreases with electrode depth and increasing frequency, while improving with higher epileptic spike rates. No single method is optimal across all metrics, although beamforming shows the weakest temporal reconstruction. These findings indicate that ESI only partially captures spontaneous intracranial dynamics and define spatial and temporal constraints for interpreting EEG- based source reconstructions.